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CITY OF SOUTH BEND, INDIANA <br />WORKONE NORTHERN INDIANA FORM <br />Pursuant to Section 2-83.Z of the South Bend Municipal Code, the <br />Petitioner referred to herein agrees to work with WorkOne Northern <br />Indiana, 851 South Marietta Street, South Bend, Indiana 46601, as a <br />condition of receiving property tax abatement. <br />Petitioner's Name <br />Agent's Name Acting on Behalf of the Petitioner <br />Contact Person <br />Street Address <br />City, State, Zip Code <br />~~y- ~~- y~~3 <br />Business Telephone Number <br />~~~~~ ~~ <br />S' nature of Petitioner <br />JUI~! 3 Q 2QQ8 <br />JC;t! VC'atikE <br />cc: WorkOne Northern Indiana cmrc~t~,~~,~c.3~~~!^,-~• <br />Chairperson, Community and Economic Development Committee <br />Department of Community and Economic Development <br />City Clerk's Office <br /> <br />